Benign mesothelioma of peritoneum presenting as a pelvic mass
Thursday, November 6th, 2008.
Journal of the College of Physicians and Surgeons—Pakistan. 2008 Nov;18(11):723-5. [Link]
Asghar S, Qureshi N, Awan A.
Department of Gyneacology, Unit-1, Sir Ganga Ram Hospital, Lahore. samina_asghar62@yahoo.com
Abstract
A large solitary multiloculated pelvic cyst in a 40-year-old woman with chronic pelvic pain was diagnosed to be a Multicystic Benign Mesothelioma (MBM) of peritoneum at laparotomy. Operative findings showed dense adhesions between uterus and bladder anteriorly, small intestines and pouch of Douglas posteriorly, a right ovarian cyst cm containing clear serous fluid and two nodular deposits were seen in the pouch of Douglas, small multiple deposits was found over the mesentery of small intestine and parietal peritoneum. Total abdominal hysterectomy with bilateral oophorectomy and infracolic omentectomy was done. During surgery, there was injury to the small intestine hence, resection of 10 inches of small intestine with re-anastomosis was carried out. Postoperative recovery was satisfactory. At 3 years follow-up, patient is symptom-free.
Glossary
- resection
- surgery to remove part or all of an organ or other structure.
- cyst
- (sist) a fluid-filled mass that is usually benign. The fluid can be removed for analysis.
- bilateral
- (bi-lat-er-ul) on both sides of the body; for example, bilateral breast cancer is cancer in both breasts.
- benign
- (be-nine) not cancer; not malignant.
- uterus
- the womb. The pear-shaped organ in women that holds and nourishes the growing embryo and fetus. The uterus has three areas: the body or upper part, the isthmus or the narrowed central area, and the cervix, the lower portion.
- mesothelioma
- a tumor derived from mesothelial tissue, such as the peritoneum (lining the abdomen) or pleura (lining the lungs). More on mesothelioma.
